Unknown Individual – Medical Physician Assistant, NPI 1083609705
Medical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
4301 MOW WAY ROAD
FORT SILL, OK 73503
Phone: (580) 458-2695
Fax: (580) 458-2387
Type: Location
2304, Northwest 78th Street, Lawton, Comanche County, Oklahoma, 73505, United States
LAWTON, OK 735051111
Phone: (580) 536-7814
Fax: (580) 458-2387
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73503)
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